Individual
SIRISH NAKKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1665 DOMINICAN WAY STE 222, SANTA CRUZ, CA 95065-1515
(844) 387-5337
(866) 264-3890
Mailing address
1665 DOMINICAN WAY STE 222, SANTA CRUZ, CA 95065-1515
(844) 387-5337
(866) 264-3890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A169418
CA
207R00000X
Internal Medicine Physician
PENDING
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
A169418
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A169418
LICENSE
CA
Enumeration date
06/12/2017
Last updated
03/07/2023
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